YOUNG ARTIST AUDITION FORM
NAME_________________________________________________________
PERMANENT ADDRESS__________________________________________
CITY/STATE/ZIP________________________________________________
CURRENT ADDRESS____________________________________ GRADE LEVEL_______________
CITY/STATE/ZIP_______________________________________ AGE_________ (23 years of age and younger)
TELEPHONE - PERMANENT_______________________________ BIRTH DATE____/_____/_____
TELEPHONE - CURRENT __________________________ E-MAIL ADDRESS___________________________
INSTRUMENT OR VOICE CLASSIFICATION______________________________________________________
YEARS OF EXPERIENCE______ INSTRUCTOR'S NAME____________________________________________
*******************************************************************************************
TITLE OF COMPOSITION_____________________________________________________________________
COMPOSER___________________________________ MOVEMENT___________________________________
OPUS____________________________________________ PERFORMANCE TIME_______________________
*******************************************************************************************
MUSIC MUST BE IN PRINT AND AVAILABLE SIX WEEKS
BEFORE THE CONCERT. APPLICATIONS WILL
NOT BE ACCEPTED OR CONSIDERED WITHOUT THIS SECTION COMPLETED.
PUBLISHER__________________________________________________________________________________
PUBLISHER ADDRESS_________________________________________________________________________
PUBLISHER PHONE NO._____________________PURCHASE PRICE____________ RENTAL FEE___________
********************************************************************************************
PARENTS' NAME _____________________________________________________________________________
HOMETOWN NEWSPAPER_____________________________________________________________________
COLLEGE NEWSPAPER________________________________________________________________________
PLEASE RETURN TO: Fort Dodge Area
Symphony THIS
FORM MUST BE POSTMARKED
P.O.
Box
1291, WITH
ENTRY FEE
Fort
Dodge, Iowa
50501 NO
LATER THAN MONDAY, DECEMBER 12, 2011
$15
ENTRY FEE (non-refundable)
|
Applications postmarked after December 12th will not be accepted. |
NOTE: Phone, Fax, or E-Mail applications without payment will not be considered.
General Schedule:
Morning - High School Soloists; Afternoon - College Soloists. If you
have a conflict that requires a
special time, or have any questions, please
contact: Ardella Hein 515-573-4224, or e-mail FDASYA@gmail.com.
Auditions to be held Saturday, January 21, 2012,
(Snow Date January 28, 2012) at
Phillips Middle School, 1015 5th Ave. North, Fort
Dodge, Iowa 50501
Concert Date: Sunday, April 22, 2012 - 3:00 PM
This form may be photocopied as necessary